Article Text

Download PDFPDF
‘Hand mechanogram’ in epilepsia partialis continua
  1. Philippe A Salles1,2,
  2. Alberto J Espay3,4
  1. 1 Center for Movement Disorders, CETRAM, Santiago, Chile
  2. 2 Department of Neuroscience, Clínica Dávila, Santiago, Chile
  3. 3 Department of Neurology, UC Gardner Neuroscience Institute, Cincinnati, Ohio, USA
  4. 4 Department of Neurology, University of Cincinnati, Cincinnati, Ohio, USA
  1. Correspondence to Professor Alberto J Espay, Department of Neurology, UC Gardner Neuroscience Institute, Cincinnati, OH 45219, USA; alberto.espay{at}


Epilepsia partialis continua manifests as low-frequency, rhythmic involuntary movements of a focal body part. We report a young man, HIV-positive and with syphilis, who developed right-hand epilepsia partialis continua associated with a small left-sided cortico-subcortical frontal lesion. A pen and paper test provided ‘mechanographic’ data on frequency, amplitude and rhythmicity of the hand movements, helping distinguish it from other causes of low-frequency repetitive hand movements.

  • tremor
  • epilepsy
  • movement disorders
  • myoclonus

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors PAS evaluated the case and drafted the manuscript. AJE reviewed the case and provided critical intellectual content and is the guarantor.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed by Mark Manford, Cambridge, UK.

Linked Articles

  • Editors’ commentary
    Phil E M Smith Geraint N Fuller

Other content recommended for you